Category Archives: Pharmacy Benefit Managers

Sutter Health Plus Changing PBM to CVS Caremark from Express Scripts

Sutter Health Plus is changing its PBM to CVS Caremark® from Express Scripts®. CVS Caremark will manage the pharmacy benefits for its approximately 100,000 members

Aetna Launches New Network to Cover New Gene Therapies for Rare Diseases

Aetna recently announced an initiative to launch a designated network to cover new gene therapies for rare diseases. This follows an initiative by CVS Health in 2019 to provide self-insured employers with a stop-loss program with Aetna health plans and cover gene therapies

Elixir Selects Maxor Specialty Pharmacy as its Exclusive Cystic Fibrosis Provider

Elixir, a pharmacy benefits and services company, recently selected Maxor Specialty Pharmacy as the exclusive Cystic Fibrosis (CF) provider in its industry leading, Best-in-Class (BIC) specialty pharmacy network

“Transparency” Continues to Drive New PBM Initiatives

A growing number of organizations that offer more transparent pharmacy benefit management services are entering the market.

Prime Therapeutics Introduces IntegratedRx™ – Oncology

Prime’s IntegratedRx™ – Oncology streamlines the treatment pathway for members who are fighting cancer to medications directly from their oncologist’s clinic or affiliated hospital pharmacy.

Navitus’s Transparent, Pass-Through PBM Model Finding Success

Navitus Health Solutions, LLC (Navitus), owned by SSM Health and Costco Wholesale Corporation, serves as a full pass-through PBM and industry alternative to traditional models for 7+ million members.

Rite Aid’s Elixir Q2 2022 Revenues Decreased 6.9% Driving the Company’s Net Loss

Rite Aid’s net loss from continuing operations was $100.3 million compared to last year’s second quarter net loss from continuing operations of $13.2 million

OptumRx to Provide PBM Benefits for Point32Health

Point32Health entered into a new, multi-year agreement with OptumRx to provide integrated Pharmacy Benefit Management (PBM) solutions that will enhance services and deliver improved pricing for Harvard Pilgrim and Tufts Health Plan members